Individual
HERBERTH CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-6100
Mailing address
348 HARVARD AVE, HILLSIDE, NJ 07205-2005
(908) 764-3360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06895700
NJ
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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